Sural perforator flap for reconstructive surgery in the lower leg and the foot: a clinical study of 86 patients with post-traumatic osteomyelitis

Saphenous Perforator Flap for Reconstructive Surgery in the Lower Leg and the Foot: A Clinical Study of 50 Patients With Posttraumatic Osteomyelitis

“…The short-term failure rate in the actual study is not significantly different from the failure rate we reported in a recent study of suralis perforator flaps, 12% versus 9% (95% CI diff: Ϫ7%-14%). 9 The subset of study patients taking part in the actual endpoint survey was representative for the total study population. Signs and symptom of another outbreak of the osteomyelitis may be delayed and discrete, hence the endpoint assessment was done a long time (minimum 1 year) after the operation to avoid false-positive outcomes.…”

“…8 In a recent study, we found that the outcome of sural perforator flaps compared favorably to free flap management in patients with osteomyelitis. 9 However, similar know-how in flaps based on perforators of the posterior tibial artery is wanting. As early as 1986, Amarante et al 10 forwarded the concept of the saphenous perforator flap based on cadaver studies.…”

Distally Based Perforator-Plus Sural Fasciocutaneous Flap for Soft-Tissue Reconstruction of the Distal Lower Leg, Ankle, and Foot: Comparison between Pediatric and Adult Patients

“…20 Reported necrosis (including partial and complete necrosis) rates of the flap ranged from 4.8 to 36.0%. 1,9,17,[20][21][22][23] In pediatric patients, the necrosis rate was reported to be 5% (1/20) by Koladi et al 13 and 12.5% (2/16) by Vergara-Amador. 14 In this study, there was no complete flap necrosis; partial necrosis rate was 13.2% (7/53, pediatric group) and 12.2% (18/148, adult group), and marginal necrosis rate was 3.8% (2/53) and 1.4% (2/148).…”

Closure of Complex Posterior Midline Defects After Spinal Surgery With Sensate Midline-based Perforator Flaps and the Long-term Results

“…Reports have been published on the successful use of perforator flaps in the treatment of post-traumatic osteomyelitis and chronic osteomyelitis of the lower extremity. 25,26 An experimental animal study by Guerra et al showed no difference in results between a musculocutaneous latissimus dorsi flap and its perforator counterpart in the treatment of superficial and deep infections. 27 Both flaps had a perfusion index greater than 0.6, indicating a similar capacity to heal wounds.…”